SACRED ANGELS LLC NPI 1124704945

NPI Information

  • NPI: 1124704945
  • Provider Name: SACRED ANGELS LLC
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Address: 21862 STATE HIGHWAY 59 S STE J
    ROBERTSDALE, AL
    ZIP 36567
  • Phone: (901) 949-9459

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NPI Details

SACRED ANGELS LLC is a public health or welfare in Robertsdale, AL. SACRED ANGELS LLC NPI is 1124704945. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21862 STATE HIGHWAY 59 S STE J
ROBERTSDALE, AL
ZIP 36567-712
Phone: (901) 949-9459

The provider's authorized official is Monica Joyce Wallace .
The authorized official title is Caregiver and has the following contact phone number (251) 200-0551.

The enumeration date for this NPI number is 6/26/2023 and was last updated on 7/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172A00000XDriverNo
2174200000XMealsNo
3251B00000XCase ManagementNo
4251C00000XDay Training, Developmentally Disabled ServicesNo
5251E00000XHome HealthNo
6253Z00000XIn Home Supportive CareNo
7251K00000XPublic Health or WelfareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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